Abstract
Background: Both elective and emergency tracheostomy as life saving procedure is frequently performed. Tracheostomy can be associated with numerous (per operative and post operative) complications.Methods: this was a cross sectional study 120 patients were studied age ranged from 9 years to 79 years in four different tertiary hospitals in Dhaka from July 2011 to June 2013.Results: Among 120 tracheostomized patients, 75 (62.5%) were patients of emergency tracheostomy group and 45 (37.5%) were patients of elective tracheostomy group. Laryngeal carcinoma and other head-neck malignancy were the common (67.34%) indications for emergency tracheostomy. Maxillofacial and laryngeal surgery (50.1%) was the common indications for elective tracheostomy. Haemmorage was the most common complication. The second most common complication were subcutaneous surgical emphysema and wound infection , Then tube displacement, pericondritis and stomal stenosis/ granulation tissue formation were the complications . In all stages (peroperative, immediate postoperative, early postoperative and late postoperative), the frequency of complications was more in emergency tracheostomy and it was statistically significant (p<0.05).Conclusion: Complications are more in emergency than elective tracheostomy. To reduce complications should be aim of all types of tracheostomyBangladesh J Otorhinolaryngol; October 2015; 21(2): 69-75
Highlights
Tracheostomy is a surgical procedure in which creation of a stoma between the skin and the anterior wall of the trachea
Due to the advancements of endotracheal intubations procedure in intensive care facilities and the widespread use of mechanical ventilation, this procedure became less indicated in developed countries in recent years, but still it is most commonly performed life saving surgical procedures in cases of
Among 120 tracheostomized patients, 75(62.5%) had underwent emergency tracheostomy and 45 (37.5%) elective tracheostomy
Summary
Tracheostomy is a surgical procedure in which creation of a stoma between the skin and the anterior wall of the trachea. It is one of the oldest surgical procedures known[1]. 2. Associate Professor of ENT, Pabna Address of Correspondence: Dr Md. Harunor-Rashid, Registrar of ENT, Pabna Medical Colege Hospital, Pabna infectious diseases in children, neoplastic and traumatic airways obstruction in adults in our region[2 ]. Harunor-Rashid, Registrar of ENT, Pabna Medical Colege Hospital, Pabna infectious diseases in children, neoplastic and traumatic airways obstruction in adults in our region[2 ] Both elective and emergency tracheostomy as life saving procedure is frequently performed. Tracheostomy can be associated with numerous (per operative and post operative) complications
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